The nurse is caring for a patient with anemia. Their medical history includes diabetes mellitus Type 1, hypertension, chronic kidney disease, and peripheral vascular disease. Which condition most likely contributes to their anemia?
Diabetes mellitus Type 1
Peripheral vascular disease
chronic kidney disease
Hypertension
The Correct Answer is C
Choice A reason: Diabetes mellitus Type 1 is a condition that affects the pancreas and the production of insulin, a hormone that regulates blood sugar levels. It does not directly cause anemia, but it can increase the risk of complications such as infections, ulcers, and nerve damage.
Choice B reason: Peripheral vascular disease is a condition that affects the blood vessels and the circulation of blood to the limbs. It does not directly cause anemia, but it can increase the risk of complications such as clots, wounds, and gangrene.
Choice C reason: Chronic kidney disease is a condition that affects the kidneys and their function of filtering waste and fluids from the blood. It can cause anemia by reducing the production of erythropoietin, a hormone that stimulates the bone marrow to make red blood cells.
Choice D reason: Hypertension is a condition that affects the blood pressure and the force of blood against the artery walls. It does not directly cause anemia, but it can increase the risk of complications such as stroke, heart attack, and kidney damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:Swaying during a Romberg test indicates a positive result, suggesting proprioceptive deficits or sensory ataxia.
Choice B reason:Unequal pupil response to light relates to cranial nerve function, not balance assessed by the Romberg test.
Choice C reason: This is incorrect. Patient taking two attempts to touch their nose while their eyes are closed is a mild impairment of coordination, which may be due to neurologic changes or other factors such as fatigue or medication. This is not a significant finding that requires immediate attention.
Choice D reason: This is incorrect. Patient complaining of mild dizziness is a common symptom of neurologic changes or vestibular dysfunction. It is not a serious finding that requires immediate attention. The nurse should monitor the patient and provide comfort measures.
Correct Answer is A
Explanation
Choice A reason: Eyes are deviated to the right is an assessment finding that indicates increased intracranial pressure and possible herniation of the brain. It is a sign of cranial nerve III palsy, which affects the movement of the eye and the size of the pupil. It is a medical emergency that requires immediate intervention.
Choice B reason: Amnesia to the cause of the trauma is an assessment finding that indicates memory loss and possible concussion. It is a sign of damage to the temporal lobe, which is involved in memory formation and retrieval. It is not a medical emergency, but it requires further evaluation and monitoring.
Choice C reason: Complaint of mild headache is an assessment finding that indicates pain and discomfort. It is a common symptom of traumatic brain injury, but it is not specific or severe. It can be managed with analgesics and rest.
Choice D reason: Pupils constrict from 5 mm to 2 mm with direct light stimulus is an assessment finding that indicates normal pupillary response. It is a sign of intact cranial nerve II and III function, which control the vision and the pupil size. It is not a cause for concern or notification.
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